COVID-19 and human convulsive reactions: Examining the involvement of pandemic fear in psychological disorders

Saeed Mohammed Noori, Karwan Kakabra Kakamand

Salahaddin University, College of Education/ Soran University, Faculty of Arts

DOI: http://doi.org/10.31918/twejer/2253.12

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 https://www.doi.org/10.31918/twejer. 2253.12

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کۆڤید-19 وکاردانەوە هەڵچوونییەکانی مرۆڤ: پشکنینی تێوەگلانی ترس لە پەتاى کۆڕۆنا لە شڵەژانە دەروونییەکان



سعيد محمد نوری طاهر بيبانی                                 كاروان کاکەبرا کاکەمەد

زانکوى سەڵاحەددین- کۆلێژى پەروەردە                  زانکۆى سۆران- فاکەڵتى ئاداب


sae[email protected]                  [email protected]

زانا حسن بابکر

زانکۆى سۆران

فاکەڵتى ئاداب

[email protected]




سەرباری ئەوەی کۆڕۆنا زیاتر لایەنە لاشەییەکانى مرۆڤ دەکات بە ئامانج، ناکرێت ڕەنگدانەوە دەروونییەکانی ئەم پەتایە فەرامۆشبکرێن. بەڵام تائێستا تێگەیشتنەکان سەبارەت بە ڕەنگدانەوە نەرێنییەکانی پەتای کۆڕۆنا لە هەڵکشانی بارە دەروونییە ناهەموارەکان ناڕوونە. بە ئەنجام ئەم توێژینەوەیە هەوڵیدا بۆ پشکنینی تێوەگلانی ترس لە کۆڤید-19 لە ئاستەکانی شڵەژنی دڵەڕاوکێ وشڵەژانی خەمۆکی بە پشتبەستن بە نموونەیەکی بەشداربوو لە هەرێمی کوردستان-عیراق (ن = 189(. ئەنجامەکان ئاماژەیانکرد بۆ پەیوەندیی ئەرینی بەڵگەداری ئاماری لە نێوان ترس لە کۆڤید-19 وشڵەژانی دڵەڕاوکێی گشتی و شڵەژانی خەمۆکیی سەرەکی، لەگەڵ تێبینیکردنی جیاوازی لە ئاستەکانی ئەو دوو شڵەژانە. ئەنجامەکان جەختیانکردەوە لە پەیوەندیی ئەرێنی بەڵگەداری ئاماری لە نێوان ترس لە کۆڤید-19 و ئاستی شڵەژانی دڵەڕاوکێی زۆرکەم و مامناوەند. هەروەک چۆن ئاماژەکرا بۆ پەیوەندیی ئەرێنی بەڵگەداری ئاماری لە نێوان ئاستی شڵەژانی خەمۆکیی سادە و ترس لە کۆڤید-19. لە کۆتاییدا توێژینەوە چەند ڕاسپاردە و پێشنیازێکى پێشکەشکرد.

وشە کلیلییەکان: ترس لە کۆڤید-19، شڵەژانی دڵەڕاوکێ، شڵەژانی خەمۆکى.



یەکەم/ سەرچاوە کوردییەکان

-       بەڕواری، خ.م. (٢٠١٩) تیۆرێین کەسایەتی. دهۆک: چاپخانەی تەهران

-       جەمال، س. (٢٠١٢) لەگەڵ سایکۆلۆژیادا. سلیمانى: چاپخانەی بەڕێوەبەرایەتی چاپ وبڵاوکراوەکانی سلێمانی

-       حوسێن، م.ت. (٢٠٢٠) بیرکردنەوە بۆژیان بیرکردنەوە دژی ژیان. هەولێر: چاپخانەی ناوەندی فێربوون

-       زوهدی، م. (٢٠١٦) دەروونناسی گەشەکردن. سلیمانى: چاپخانەی تاران

-       شاملۆ، س. (٢٠١٠) قوتابخانە وتیۆرییەکانی دەروونزانی کەسایەتی. وەرگێرانی محمد، فرمێسک رزگار و ئەوانیتر. سلیمانى: چاپخانەی گەنج

-       شیشانی، أ. (٢٠١٢) نەخۆشییە دەروونییەکان هۆکار و چارەسەر. وەرگێڕانی محەمەد عەلێ وەلی. سلیمانى: چاپخانەی خانەی چاپ وپەخشی ڕێنما

-       شەکشەک، أ. (٢٠١٧) دەروونناسی گشتی. وەرگێڕانى سەلاح سەعدی، چاپی دووەم. هەولێر: چاپخانەی نارین

-       قەزاز، أ. (٢٠١٠) ترس و خەمۆکی. هەولێر: چاپخانەی چوارچرا

-       محمەد، ن.ع. (٢٠٢١) بنەماکانی دەروون درووستی. چاپی دووەم. هەولێر: چاپەمەنی نارین

-       مستەفا، ی.ح.س. (٢٠١٩) کەسایەتی وسروشتی مرۆڤ. چاپی دووەم، چاپخانەی ئەندێشە

-       مۆرگان، س. (٢٠٢١) بنەماکانی زانستی دەروونی. سۆران: چاپخانەی مێخەک

دووەم/ سەرچاوە ئینگلیزییەکان

-        Aassve, A. et al. (2021) 'Early assessment of the relationship between the COVID-19 pandemic and births in high-income countries'. PNAS, 118 (36) e2105709118 https://doi.org/10.1073/pnas.2105709118

-        Ahorsu, D.K. et al. (2022) ‘The Fear of COVID-19 Scale: Development and Initial Validation’. International journal of mental health and addiction, 20(3), pp. 1537–1545. https://doi.org/10.1007/s11469-020-00270-8

-        Alsharawy, A. et al. (2021) ‘Gender Differences in Fear and Risk Perception During the COVID-19 Pandemic’. Frontiers in psychology, 12, 689467. https://doi.org/10.3389/fpsyg.2021.689467

-        American Psychiatric Association (2022) Diagnostic and statistical manual of mental disorders (5thTR ed.). Washington, DC: Author.

-        Bebane, S. (2022). Human Life during a Pandemic: Exploring Intercorrelation between Fear of COVID-19 and Cognitive Judgments of Satisfaction. International Journal of Psychological Studies, 14(3), pp. 11-17. doi: 10.5539/ijps.v14n3p11

-        Belcher, J. and Peters, L. (2009) ‘Relationship between Anxiety Sensitivity subscales and social fears’. Australian Journal of Psychology, 61(3), pp. 128-135. doi:10.1080/00049530802239318

-        Broche-Pérez, Y. et al. (2022) 'Gender and Fear of COVID-19 in a Cuban Population Sample'. Int J Ment Health Addiction, 20(1), pp. 83–91. https://doi.org/10.1007/s11469-020-00343-8

-        Bueno-Notivol, J. et al. (2021) ‘Prevalence of depression during the COVID-19 outbreak: A meta-analysis of community-based studies’. International journal of clinical and health psychology : IJCHP, 21(1), 100196. https://doi.org/10.1016/j.ijchp.2020.07.007

-        Chou, KL. and Chi, I. (2008) ‘Reciprocal relationship between fear of falling and depression in elderly Chinese primary care patients’. Aging & Mental Health, 12(5), pp. 587-594. doi:10.1080/13607860802343068

-        Çimke, S., Gürkan, D.Y. and Esenkaya, D. (2021) ‘Fear of COVID-19 and Affecting Factors’. International Journal of Health Services Research and Policy, Int. J. of Health Serv. Res. and Policy, 6(3), pp. 273 – 283. https://doi.org/10.33457/ijhsrp.944100.

-        Ciotti, M. et al. (2020) 'The COVID-19 pandemic'. Critical Reviews in Clinical Laboratory Sciences, 57(6), pp. 365-388. doi:10.1080/10408363.2020.1783198

-        Daly, M. and Robinson, E. (2021) ‘Psychological distress and adaptation to the COVID-19 crisis in the United States’. Journal of psychiatric research, 136, pp. 603–609. https://doi.org/10.1016/j.jpsychires.2020.10.035

-        Daly, M. and Robinson, E. (2022) ‘Depression and anxiety during COVID-19’. Lancet (London), 399(10324), p. 518. https://doi.org/10.1016/S0140-6736(22)00187-8

-        de Bruin, W.B. (2021) ‘Age differences in COVID-19 risk perceptions and mental health: Evidence from a national U.S. survey conducted in March 2020’. The Journals of Gerontology: Series B, 76( 2), pp. e24-e29. https://doi.org/10.1093/geronb/gbaa074

-        Demirbas, N. and Kutlu, R. (2021) ‘Effects of COVID-19 Fear on Society's Quality of Life’. International journal of mental health and addiction, pp. 1–10. https://doi.org/10.1007/s11469-021-00550-x

-        Dong, L., Hu, S. and Gao, J. (2020) ‘Discovering drugs to treat coronavirus disease 2019 (COVID-19)’. Drug discoveries & therapeutics, 14(1), pp. 58–60. https://doi.org/10.5582/ddt.2020.01012

-        Dymecka, J., Gerymski, R. and Machnik-Czerwik, A. (2021) 'Fear of COVID-19 as a buffer in the relationship between perceived stress and life satisfaction in the Polish population at the beginning of the global pandemic'. Health Psychology Report, 9(2), pp. 149–159. doi: https://doi.org/10.5114/hpr.2020.102136

-        Fancourt, D., Steptoe, A. and Bu, F. (2021) ‘Trajectories of anxiety and depressive symptoms during enforced isolation due to COVID-19 in England: a longitudinal observational study’. The lancet. Psychiatry, 8(2), pp. 141–149. https://doi.org/10.1016/S2215-0366(20)30482-X

-        Fava, G.A. (1996) ‘Depression Phobia, or the Triumph of Psychiatry’. Psychotherapy and Psychosomatics, 65(4), pp. 169–170. doi:10.1159/000289071

-        Folayan, M.O.  et al. (2022) ‘Factors associated with experiences of fear, anxiety, depression, and changes in sleep pattern during the COVID-19 pandemic among adults in Nigeria: A cross-sectional study’. Frontiers in public health, 10, 779498. https://doi.org/10.3389/fpubh.2022.779498

-        Fosha, D. (2000) The transforming power of affect: A model for accelerated change. New York: Basic Books.

-        Heiat, M. et al. (2021) ‘Phobia and fear of COVID-19: origins, complications and management, a narrative review’. Annali di igiene : medicina preventiva e di comunita, 33(4), pp. 360–370. https://doi.org/10.7416/ai.2021.2446

-        Hemert, D., Van de Vijver, F. and Poortinga, Y. (2002) ‘The Beck depression inventory as a measure of subjective well-being: A cross-national study’. Journal of Happiness Studies. 3, pp. 257-286. Doi:10.1023/A:1020601806080

-        Iyer, K. and  Khan, Z. (2012) ‘Depression – A review’. Research Journal of Recent Sciences, 1(4), pp. 79-87.

-        Kausar, N. et al. (2021) ‘Fear of Covid-19 and Depression: Mediating Role of Anxiety and Stress Among University Students’. Journal of Bioresource Management, 8(1). pp. 81-90. https://doi.org/10.35691/JBM.1202.0168

-        Khalaf, O.O., Abdalgeleel, S.A. and Mostafa, N. (2022) ‘Fear of COVID-19 infection and its relation to depressive and anxiety symptoms among elderly population: online survey’. Middle East Curr Psychiatry, 29(1), 7. https://doi.org/10.1186/s43045-022-00177

-        Klaser K. et al. (2021) ‘Anxiety and depression symptoms after COVID-19 infection: results from the COVID symptom study app’. Journal of Neurology, Neurosurgery & Psychiatry, 92, pp. 1254-1258. doi: 10.1136/jnnp-2021-327565

-        Kroenke, K., Spitzer, R.L. and Williams, J.B. (2001) ‘The PHQ-9: validity of a brief depression severity measure. Journal of general internal medicine, 16(9), pp. 606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x

-        Luong, T. et al. (2021) ‘Fear, anxiety and depression among pregnant women during COVID-19 pandemic: impacts of healthy eating behaviour and health literacy’. Annals of Medicine, 53, pp. 2120-2131. doi;10.1080/07853890.2021.2001044.

-        Maroufizadeh, S. et al. (2019) ‘The reliability and validity of the Patient Health Questionnaire-9 (PHQ-9) and PHQ-2 in patients with infertility’. Reproductive health, 16(1), 137. https://doi.org/10.1186/s12978-019-0802-x

-        Mertens, G. et al. (2020) ‘Fear of the coronavirus (COVID-19): Predictors in an online study conducted in March 2020’. Journal of anxiety disorders, 74, 102258. https://doi.org/10.1016/j.janxdis.2020.102258

-        Mistry, S.K. et al. (2021) ‘Exploring fear of COVID-19 and its correlates among older adults in Bangladesh’. Globalization and health, 17, 47. https://doi.org/10.1186/s12992-021-00698-0

-        Mortazavi, A. et al. (2014) ‘Generalized anxiety disorder’. In Grossman, L. and Walfish, S. (Eds.), Translating psychological research into practice. New York: Springer Publishing Company, pp. 183-192

-        Muurlink, O.T. and Taylor-Robinson, A.W. (2020) ‘COVID-19: Cultural predictors of gender differences in global prevalence patterns’. Frontiers in public health, 8, 174. https://doi.org/10.3389/fpubh.2020.00174

-        Pakpour, A.H and Griffiths, M.D. (2020) ‘The fear of COVID-19 and its role in preventive behaviors’. Journal of Concurrent Disorders, 2(1), pp. 58-63.

-        Panksepp, J. (2004) ‘Emerging neuroscience of fear and anxiety: Therapeutic practice and clinical implications’. In Panksepp, J. (Ed.), Textbook of Biological Psychiatry. New York: Wiley-Liss, pp. 489-519

-        Parchani, A. et al. (2021) ‘Fear, anxiety, stress, and depression of novel coronavirus (COVID-19) pandemic among patients and their healthcare workers a descriptive study’. Psychology research and behavior management, 14, pp. 1737–1746. https://doi.org/10.2147/PRBM.S324233

-        Pierce, N. and Hoelterhoff, M. (2017) ‘Cognitive theories of depression in online peer support forums: Exploring the cognitive triad’. Journal of European Psychology Students, 8, pp. 7-14. doi;10.5334/jeps.405.

-        Reekie, A. (2021) ‘The implications of COVID-19 on fear of financial collapse’. Student Scholar Symposium Abstracts and Posters. 476. https://digitalcommons.chapman.edu/cusrd_abstracts/476

-        Saadat, S.H. et al. (2020) ‘Fear and panic of COVID-19’. Int J Travel Med Glob Health. 8(3), pp. 91-92. doi:10.34172/ ijtmgh.2020.15

-        Sarfraz, M. et al. (2022) ‘Signifying the relationship between fear of COVID-19, psychological concerns, financial concerns and healthcare employees job performance: A mediated model’. International journal of environmental research and public health, 19(5), 2657. https://doi.org/10.3390/ijerph19052657

-        Schimmenti, A., Billieux, J. and Starcevic, V. (2020) ‘The four horsemen of fear: An integrated model of understanding fear experiences during the Covid-19 pandemic’. Clinical neuropsychiatry, 17(2), pp. 41–45. https://doi.org/10.36131/CN20200202

-        Scopaz, K.A. et al. (2009) ‘Relationships of fear, anxiety, and depression with physical function in patients with knee osteoarthritis’. Archives of physical medicine and rehabilitation, 90(11), pp. 1866–1873. https://doi.org/10.1016/j.apmr.2009.06.012

-        Sheard, J. (2018) ‘Quantitative data analysis’. In Williamson, K. and Johanson, G. (Eds.), Research Methods: Information, Systems, and Contexts. Second Edition. Amsterdam: Elsevier, pp. 429-452

-        Spitzer, R.L. et al. (2006) ‘A brief measure for assessing generalized anxiety disorder: the GAD-7’. Archives of internal medicine, 166(10), pp. 1092–1097. https://doi.org/10.1001/archinte.166.10.1092

-        Starcevic, V., Schimmenti, A. and Billieux, J. (2020) ‘A model of multifaceted fear during the Covid-19 pandemic and balancing between overemphasising and neglecting the distinction between fear and anxiety: A reply to’. Clinical neuropsychiatry, 17(4), pp. 255–259. https://doi.org/10.36131/cnfioritieditore20200407

-        Steimer T. (2002) ‘The biology of fear- and anxiety-related behaviors’. Dialogues in clinical neuroscience, 4(3), pp. 231–249. https://doi.org/10.31887/DCNS.2002.4.3/tsteimer

-        Taylor, S. et al. (2020). ‘COVID stress syndrome: Concept, structure, and correlates’. Depress Anxiety, 37, pp. 706-714. https://doi.org/10.1002/da.23071

-        Troyer, E.A., Kohn, J.N. and Hong, S. (2020) 'Are we facing a crashing wave of neuropsychiatric sequelae of COVID-19? Neuropsychiatric symptoms and potential immunologic mechanisms. Brain, behavior, and immunity, 87, pp. 34–39. https://doi.org/10.1016/j.bbi.2020.04.027

-        Twardowska-Staszek, E. et al. (2022) ‘Causes of stress among poles and how they cope with stress during the COVID-19 pandemic’. Frontiers in psychiatry, 13, 829918. https://doi.org/10.3389/fpsyt.2022.829918

-        Unützer, J., Kimmel, R.J. and Snowden, M. (2020) ‘Psychiatry in the age of COVID-19’. World psychiatry : official journal of the World Psychiatric Association (WPA), 19(2), pp. 130–131. https://doi.org/10.1002/wps.20766

-        VandenBos, G.R. (2015) APA dictionary of psychology. 2nd edition. Washington, DC: American Psychological Association.

-        Wang, D. et al. (2020) ‘Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China’. JAMA, 323(11), pp. 1061–1069. https://doi.org/10.1001/jama.2020.1585

-        Warner, V., Wickramaratne, P. and Weissman, M.M. (2008) ‘The role of fear and anxiety in the familial risk for major depression: a three-generation study’. Psychological medicine, 38(11), pp. 1543–1556. https://doi.org/10.1017/S0033291708002894

-        Widdowson, M. )2011( ‘Depression: A literature review on diagnosis, subtypes, patterns of recovery and psychotherapeutic models’. Transactional Analysis Journal. 41. pp. 351-364. doi:10.1177/036215371104100411

-        Wiebers, D.O. and Feigin, V.L. (2020) 'What the COVID-19 Crisis Is Telling Humanity'. Neuroepidemiology, 54, pp. 283-286. doi:10.1159/000508654

-        Wieteska-Miłek M, et al. (2021) ‘Fear of COVID-19, anxiety and depression in patients with pulmonary arterial hypertension and chronic thromboembolic pulmonary hypertension during the pandemic. Journal of Clinical Medicine, 10(18), 4195. https://doi.org/10.3390/jcm10184195

-        Williams, C. (2007) ‘Research Methods’. Journal of Business & Economics Research (JBER), 5(3). https://doi.org/10.19030/jber.v5i3.2532






بالرغم من ان فایروس الکورونا یستهداف الجوانب الجسمیة عند الانسان، الا انه لايمكن اغفال الانعكاسات النفسية لهذا الوباء. ولکن لايزال هناك غموض في الفهم حول الانعكاسات السلبیة لوباء الکورونا فی ازدياد الحالات النفسية المضطربة. من هنا استهدفت الدراسة الحالية فحص تورط الخوف من كوفيد-19 في مستويات اضطراب القلق واضطرب الأكتئاب بالأعتماد على عينة من المشاركين من أقليم كوردستان-العراق (ن = 189). أشارت النتائج الي وجود علاقة ايجابية ذات دلالة احصائية بين الخوف من كوفيد-19 واضطراب القلق العام واضطراب الأكتئاب الرئيسي، مع ملاحظة وجود جوانب تفضيلية بين مستويات هذين الاضطرابين. أکدت النتائج على وجود علاقة ايجابية ذات دلالة أحصائيا بين الخوف من كوفيد-19 ومستواى الخفيف والمتوسط من اضطراب القلق. كما وانه اشارت الى وجود علاقة ايجابية ذات دلالة أحصائيا بين مستوى الخفيف من اضطراب الأكتئاب والخوف من كوفيد-19.  

الکلمات المفتاحیة: الخوف من كوفيد-19، اضطراب القلق العام، اضطراب الأكتئاب الرئيسي. 




Though the coronavirus virus attacks humans' physical aspects, the psychological consequences of this epidemic should not be overlooked. However, the negative effects of the coronavirus epidemic on the rise in psychological disorders are still unclear. Therefore, this study aimed to investigate the involvement of COVID-related fear in the levels of anxiety disorder and depression disorder, exploring this via a sample of participants from the Kurdistan Region of Iraq (N = 189). The results indicated that there are significant positive correlations between fear of COVID-19, generalised anxiety disorder, and major depressive disorder, with differential aspects across levels of both disorders. Accordingly, the findings revealed a positive relationship between fear of COVID-19 and mild to moderate levels of anxiety disorder. Furthermore, a mild level of depressive disorder was associated with a fear of COVID-19. Finally, the current study came up with a few recommendations and suggestions.

Keywords: Fear of COVID-19, Generalised anxiety disorder, Major depressive disorder.